In-patient (early) rehabilitation
It is difficult to develop the financing and hospital provision of interventions for early rehabilitation within the diagnosis-related group (DRG) system. In addition to a range of partially rehabilitative complex interventions, the system recognizes three main forms of early rehabilitative interven...
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Veröffentlicht in: | Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz Gesundheitsforschung, Gesundheitsschutz, 2017-04, Vol.60 (4), p.419-426 |
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creator | Wallesch, Claus-W Lautenschläger, Sindy |
description | It is difficult to develop the financing and hospital provision of interventions for early rehabilitation within the diagnosis-related group (DRG) system. In addition to a range of partially rehabilitative complex interventions, the system recognizes three main forms of early rehabilitative interventions: geriatric, neurological/neurosurgical, and interdisciplinary and others. In this article, the appropriate definitions and cost-effectiveness of these procedures are analyzed and compared. The early rehabilitative interventions are characterized by constant cooperation in the therapeutic team, especially neurological early rehabilitation through the incorporation of nursing as a therapeutic profession. Whereas geriatric and neurological early rehabilitation are reflected in the DRG system, the former provided in many general hospitals and the latter mainly in specialized institutions, interdisciplinary early rehabilitation has only occasionally been represented in the DRG system so far. If all acute in-patients who require early rehabilitation should receive such an intervention, an additional fee must be implemented for this this interdisciplinary service. |
doi_str_mv | 10.1007/s00103-017-2522-0 |
format | Article |
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In addition to a range of partially rehabilitative complex interventions, the system recognizes three main forms of early rehabilitative interventions: geriatric, neurological/neurosurgical, and interdisciplinary and others. In this article, the appropriate definitions and cost-effectiveness of these procedures are analyzed and compared. The early rehabilitative interventions are characterized by constant cooperation in the therapeutic team, especially neurological early rehabilitation through the incorporation of nursing as a therapeutic profession. Whereas geriatric and neurological early rehabilitation are reflected in the DRG system, the former provided in many general hospitals and the latter mainly in specialized institutions, interdisciplinary early rehabilitation has only occasionally been represented in the DRG system so far. If all acute in-patients who require early rehabilitation should receive such an intervention, an additional fee must be implemented for this this interdisciplinary service.</description><subject>Diagnosis-Related Groups - economics</subject><subject>Disabled Persons - rehabilitation</subject><subject>Disabled Persons - statistics & numerical data</subject><subject>Germany - epidemiology</subject><subject>Health Care Costs - statistics & numerical data</subject><subject>Hospitalization - economics</subject><subject>Hospitalization - statistics & numerical data</subject><subject>Humans</subject><subject>Models, Economic</subject><subject>Rehabilitation - economics</subject><subject>Rehabilitation - statistics & numerical data</subject><subject>Secondary Prevention - economics</subject><subject>Secondary Prevention - statistics & numerical data</subject><issn>1437-1588</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo1z0tLw0AUBeBBEFurP8CN1F1djN47k3ktpfgoFLqp6zCZ3MFIXmaSRf-9AevqwOHjwGHsDuEJAcxzAkCQHNBwoYTgcMGWmEnDUVm7YNcpfc9CWSGv2EJYdEZruWQPu5b3fqyoHdcb8kN9elwP9OWLqq7Gue_aG3YZfZ3o9pwr9vn2etx-8P3hfbd92fMeMxx5BhlFKG10CmLEYEuyAMGIMhgjjSM0WGIMoZBGx0KFKCU5wOAFKnIoV2zzt9sP3c9EacybKgWqa99SN6UcrbbaaSVgpvdnOhUNlXk_VI0fTvn_LfkLUsxLtg</recordid><startdate>201704</startdate><enddate>201704</enddate><creator>Wallesch, Claus-W</creator><creator>Lautenschläger, Sindy</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>201704</creationdate><title>In-patient (early) rehabilitation</title><author>Wallesch, Claus-W ; Lautenschläger, Sindy</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p141t-404ef0d8f950ff1c8de800c72dc77379e171d1fccb376fb5cf33e901ca215e913</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>ger</language><creationdate>2017</creationdate><topic>Diagnosis-Related Groups - economics</topic><topic>Disabled Persons - rehabilitation</topic><topic>Disabled Persons - statistics & numerical data</topic><topic>Germany - epidemiology</topic><topic>Health Care Costs - statistics & numerical data</topic><topic>Hospitalization - economics</topic><topic>Hospitalization - statistics & numerical data</topic><topic>Humans</topic><topic>Models, Economic</topic><topic>Rehabilitation - economics</topic><topic>Rehabilitation - statistics & numerical data</topic><topic>Secondary Prevention - economics</topic><topic>Secondary Prevention - statistics & numerical data</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wallesch, Claus-W</creatorcontrib><creatorcontrib>Lautenschläger, Sindy</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wallesch, Claus-W</au><au>Lautenschläger, Sindy</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>In-patient (early) rehabilitation</atitle><jtitle>Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz</jtitle><addtitle>Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz</addtitle><date>2017-04</date><risdate>2017</risdate><volume>60</volume><issue>4</issue><spage>419</spage><epage>426</epage><pages>419-426</pages><eissn>1437-1588</eissn><abstract>It is difficult to develop the financing and hospital provision of interventions for early rehabilitation within the diagnosis-related group (DRG) system. 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language | ger |
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source | MEDLINE; SpringerLink Journals - AutoHoldings |
subjects | Diagnosis-Related Groups - economics Disabled Persons - rehabilitation Disabled Persons - statistics & numerical data Germany - epidemiology Health Care Costs - statistics & numerical data Hospitalization - economics Hospitalization - statistics & numerical data Humans Models, Economic Rehabilitation - economics Rehabilitation - statistics & numerical data Secondary Prevention - economics Secondary Prevention - statistics & numerical data |
title | In-patient (early) rehabilitation |
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